| NPI | 1821177072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY A HECK President 847-255-9690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019015966) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2013-11-04 |